CPT 97150 Physical Therapy/Rehab
Group therapeutic procedures Cost
Body System: Musculoskeletal
Medicare Facility Rate
$18
CMS PFS CY2026
Medicare Non-Facility Rate
$18
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.29
Work RVU
0.24
Facility PE RVU
0.01
Malpractice RVU
0.54
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $23 | $30 — $47 |
| AL — ALABAMA | $17 | $22 — $34 |
| AR — ARKANSAS | $17 | $22 — $34 |
| AZ — ARIZONA | $18 | $23 — $36 |
| CA — BAKERSFIELD | $19 | $25 — $38 |
| CA — CHICO | $19 | $25 — $38 |
| CA — EL CENTRO | $19 | $25 — $38 |
| CA — FRESNO | $19 | $25 — $38 |
| CA — HANFORD-CORCORAN | $19 | $25 — $38 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $20 | $26 — $40 |
| CA — MADERA | $19 | $25 — $38 |
| CA — MERCED | $19 | $25 — $38 |
| CA — MODESTO | $19 | $25 — $38 |
| CA — NAPA | $21 | $27 — $42 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $20 | $26 — $39 |
| CA — REDDING | $19 | $25 — $38 |
| CA — REST OF CALIFORNIA | $19 | $25 — $38 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $19 | $25 — $38 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $20 | $26 — $39 |
| CA — SALINAS | $20 | $25 — $39 |
Frequently Asked Questions
How much does Group therapeutic procedures cost?
The Medicare facility rate is $18. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Group therapeutic procedures cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $18.